Parkside Medical Group Inc
NPI 1891935862ActiveOrganization· Psychiatry & Neurology, Neurology· Upland, CA
Psychiatry & Neurology, Neurology in Upland, California, registered in NPPES in March 2009. The authorized official on file is Mohsen Ibrahim Ali, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891935862 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2009 |
| Last updated in NPPES | Jun 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | A33406 | CA |
| Internal Medicine | 207R00000X | A101427 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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